Sweden to shut bars and restaurants that ignore coronavirus restrictions
uk.reuters.com
uk.reuters.com
I also think there's unacknowledged element of luck in a lot of these outcomes. A few infected individuals a month or so back in the wrong time/place makes a huge difference in the progression of the disease. Likewise when testing is relatively sparse, it's easy to get a mistaken view on where things stand.
A recent study by the Public Health Agency of Sweden came to a similar conclusion.
[] in the non trivial sense, since obviously we'll all die; but presumably we won't all die from this pandemic.
The problem is that you really need an advanced country to organize separating people by age (making young people get through the virus without passing it to older people).
The Swedish approach may get them out the other end before any country aside from China and Vietnam, but the Swedish execution did not save lives by protecting the vulnerable.
https://babylonbee.com/news/infographic-common-covid-19-talk...
Two weeks ago, many of them lionized Dr. Knut Wittkowski. But now that his forecast of 10000 (sic!) deaths in the US has proven somewhat optimistic, I haven't seen any followups where he explains what he got wrong in his model, and what adjustments to it he's making.
Richard Epstein is at least making revisions to his estimate, but unfortunately, he's making them retroactively as well: https://www.bradford-delong.com/2020/04/the-hoover-institute...
A few weeks ago, the UK briefly flirted with a herd immunity strategy. Would anybody today argue that these days were wisely spent?
Now, the benchmark du jour is Sweden. Will Sweden still be the benchmark a month from now? Would be nice if it were, but I'm not confident.
1. We realize that the shutdown had a small effect, because a) the virus is already widespread due to easy transmission and b) the mortality rate is much lower than previously thought. Thus, we don't need to continue the shutdown.
2. The virus turns out to be as bad as feared, and things get much worse in Sweden (and elsewhere). The shutdown needs to continue indefinitely.
I'm leaning toward #1, but I think it's still too early to rule out #2. If we are living in the first scenario, I wonder how long it will take for the general public to realize that's the case.
I do think that a combination of political jockeying and mass hysteria have placed us into the position we're in now. If that's true, then the worst thing about this virus will certainly be the economic impact which has a number of far reaching effects.
https://www.nga.org/wp-content/uploads/2020/04/NGA-Report.pd...
It's by the national governors association in the US and seems pretty well done.
Number of deaths so far is very high compared to the neighbouring countries, and there is still a long way to go before herd immunity.
In general, it seems to me quite insane that Sweden already in the beginning of March basically had decided to infect millions of people with a virus we only had a month of experience with or something like that.
https://studylib.net/coronavirus#country-se
their case count is steadily climbing, as is their CFR.
Other than that the numbers of people in intensive care and the deaths per day has been decreasing during last week, something that in my eyes are even more positive.
(data according to FOHM, Swedish CDC kinda)
https://ourworldindata.org/grapher/new-covid-deaths-per-mill...
The rolling 7 day average shows they're still on a bit of an up-tick.
https://ourworldindata.org/grapher/daily-covid-deaths-per-mi...
However, if you normalize for start time they're not really doing any worse than a lot of other countries.
https://www.worldometers.info/coronavirus/country/sweden/
Average time between infection and death from COVID-19 is 23 days, and 18 days average from first symptoms to deaths (1) A country can be a week or two into the overload level before it shows up in the ICUs
https://twitter.com/michaeljswalker/status/12454153391497052...
Here's another paper from a orofessor of mathematics at Stockholm University who has appeared in the media as a subject matter expert: https://www.medrxiv.org/content/10.1101/2020.04.15.20066050v...
Meanwhile, there's a hint of a decline in the number of patients in Intensive Care in Stockholm, as seen here, although it's a still a bit early to tell: https://www.svt.se/datajournalistik/corona-i-intensivvarden/
Meanwhile, there is reason to believe that Sweden is better than other countries at attributing the cause of death correctly: https://www.nytimes.com/interactive/2020/04/21/world/coronav...
There's zero evidence of that. At this time, officially less than .5% of the population has been infected, so you'd have to postulate something like 99% of cases being asymptomatic.
> Their daily new case count has been mostly plateaued for weeks
Case count depends a lot on amount of testing (In which Sweden lags behind even the US) and testing criteria. Their death count does not look great.
https://www.folkhalsomyndigheten.se/publicerat-material/publ...
April 9, 10, 11: 200, 148, 240 new cases were reported in Stockholm
April 21, 22, 23: 163, 289, 281 new cases were reported (and might still be subject to upward revision)
As we both agree, reported cases is a fairly uncertain metric, but I don't see a peak on April 10. Do you?
https://experience.arcgis.com/experience/09f821667ce64bf7be6...
There are charts towards the end of the paper which shows the real data plotted compared to the predictions, with confidence intervalls. The data is obviously very noisy, but it seems to track reasonably well, and is expected to taper of only slowly. The expected decline is not by any means drastic.
No, that's not how it works. There are plenty of people who have had and do have symptoms but have not been counted. Seeking care and getting counted is a last resort here.
What??? Isn't that precisely _the best_ option intuitively? I'd much rather be outdoors with a high rate of air flow than inside. No idea if this has been studied but it seems obvious.
This is also supported by their low testing per capita number.
Source: https://www.worldometers.info/coronavirus/#countries
They aren't claiming that the number of confirmed cases is that number of people who have or have had the virus, which is something they've pointed out in several of the press conferences, it's just the number of confirmed cases.
The difference you're seeing is the difference in conditions under which people get tested.
So much for the argument that Sweden's approach was working because Swedes are so much better than the rest of world at voluntary compliance. Overall, it looks like Sweden is moving toward doing the same as every other country, but quietly so they don't have to admit it's a change of course.
That's the main reason why most of them are out and about, enjoying the spring weather after a long and dark winter.
Once this virus starts affecting people you know, that's when folks will start to react.
Me personally I haven't heard of a single case until last week when I heard that one of my co-workers had it, along with his wife. They had it, and overcame it. But they live in another city and we had already started working from home at that point. So I never saw him other than on Teams.
This of course is unsurprising. Even random street violence drops during winter, as cold temperatures drives everyone inside and away from each other.
And yeah, people are idiots for going to bars.
It should be noted that this is just the capital, which currently has something like 10x infection compared to most other areas of Sweden, and almost 20x the number of dead. To give some number, Stockholm has in the latest report 7k infected and 1200 dead. Malmö (or rather the region around it), which is Sweden third largest city, has 600 infected and 60 dead. Population wise, Stockholm has about 2x compared to Malmö.
People are not sure why stockholm has the number it has compared to other regions.
The death rate per capita in Sweden is not much higher than the US. At ~33x the population the US has ~25x the deaths. Given the US had only double the total cases on March 6 as Sweden that seems like a positive indicator for Sweden's approach. It's like saying it doesn't really matter what you do so you might as well stay open. The timeline of when you started taking things seriously is also a big factor of course. I think it's way too early to declare anything yet, but I think it's good there are different approaches being taken to learn from.
This is the most logical time to take measures, except for maybe the very beginning when it could possibly have been stopped.
They're taking a swing in the dark, with the potential risk of a very high per capita mortality rate. If the duration of immunity is short, they could kill a lot of people for little gain. They're currently running at seven times the per capita mortality rate of Finland.
IF you work in Stockholm you probably commute by commuter train and or bus into the city, where in Malmö you can walk through the city center in 15 minutes so biking or owning a car to commute with is the norm.
In Malmö most stores close at 5pm, and malls much earlier than in Stockholm so they are visited on weekends instead of whenever (this also sucks since there is nothing to do after work), FNM starts at something like 15:30.
It's just a lot fewer crowds and situations with close contact in general.
What matters is deaths overall, not deaths per day.
That said, the US is a great example of how to handle the situation absolutely terribly - with a major political party probably funding and at least endorsing movements violating the lockdown and terribly unclear messaging.
No, I don't like the US's approach. Canada has had it's good and bad points and Vancouver was basically acting like Florida for a while, but the governments response has been well focused, even if we don't have the resources to throw at the problem that the US does - and the messaging has been extremely comforting and clear.
Time's already up.
As I've had to point out many times, "get to herd immunity faster" doesn't just mean let everyone get sicker sooner. The whole "flattening the curve" thing is not about an alternative to herd immunity. It's about getting there in a humane way that doesn't overwhelm health care and disproportionately affect some groups - the elderly, minorities, people with other health conditions, people who have no choice but to work and expose themselves more. "Let the chips fall where they may" is a recipe for excessive and unevenly distributed suffering. And worst of all, it might not even help reduce the total deaths over the long term. That's highly speculative and dependent on other factors.
Well, maybe if we had just engaged in a vigorous program of needle sharing and unprotected sex, we'd eventually have gotten there.
That has absolutely not been my impression, but they're probably both matters of perspective - who we talk to, what sources we read, and so on. To the extent that people do think of it as an alternative, that makes me sad.
If Sweden has had a fairly sizable amount of deaths – of mainly elderly people, as we see – but its health system has not been overwhelmed for the bulk of the population and the economy has not greatly suffered, then things are arguably working out better than in countries which have minimized fatalities but are dealing with greater economic (and psychological) fallout.
We really need to wait a year or two before we can tell which strategy was the best. It is not clear if the countries which managed to limit the infections will do any better in the long run than for example Sweden.
Deaths per day is on a downward trend right now. Two weeks ago the maximum on a day was 108.
Lots of "Why in this country is?" "This place is doing well because."
And then a few weeks later the data shows that's simply not the case and you realize the concussions in those articles had little to zero data supporting it.
Personally I look forward to hearing about good data years from now about this pandemic.
In the Lombardy region of Italy, they kept the bars and restaurants open and had this Milano non si ferma! (Milan doesn't stop!) campaign. The results are tragic.
In the Veneto region of Italy, the governor listened to some experts, and the results have been significantly better.
I haven't heard a single swedish person utter this nonsense IRL. Sounds like a clickbait headline from Vice or something similar.
Where exactly does this come from? Sweden has no need to save face. We've been transparent and had open discussion from the beginning with the spoken assumption that we may, in fact, not be doing the right thing and that we may have to alter course as the situation changes.
The ones who need to save face are the ones which are committing to full lockdown right now. They're the ones who are making a big sacrifice and need to motivate it with the fact that "it's a necessity", seeing Sweden succeed otherwise would be a big blow to their egos and their personal sacrifices.
I will also say that voluntary compliance is still occurring here, which is notable both in what private companies are doing in adapting to the situation, and how the average person has changed their behaviour. This doesn't mean 100% compliance for everyone, which is unfortunate.
That's quite the assertion. The very word quarantine comes to us from when there was a Republic of Venice. The notion of shutting things down in times of plague is an old one.
Yes, it's a very blunt instrument, and you'd hope we could do better these days - and some places like South Korea and Taiwan appear to be managing that - but locking things down works.
Why Sweden rejected a coronavirus lockdown
Which is it?